NPI | 1750582730 |
---|---|
Doing Business As | DESERT VALLEY GASTROENTEROLOGY |
Entity Type | Organization |
Authorized Contact | RYAN SCOTT FAUBLE Owner 248-508-1960 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2007-05-29 |
Last Update Date | 2020-08-22 |